OLD TICKET REISSUE REQUEST FORM Company Name Department 1. PASSENGER DETAILS Date Full Name Contact Number Email Address 2. ORIGINAL TICKET INFORMATION Ticket Number Airline Name Booking Reference (PNR) Date of Original Issue Route (From – To) Fare Paid 3. REASON FOR REISSUE Flight ChangeName CorrectionDate ChangeFare Difference AdjustmentOther Remarks / Explanation 4. REISSUE DETAILS New Ticket Number Reissue Date New Route / Flight / Date Additional Charges (if any) Reissued By (Staff Name) 5. APPROVAL SECTION Supervisor Name Signature Date 6. PAYMENT CONFIRMATION (IF APPLICABLE) CashCredit CardBank TransferDeduct from Account Payment Reference No. Amount Received By
